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Pain management poster

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IDENTIFYING PHYSICAL PAIN TYPES<br />

Type of <strong>Pain</strong> Location Description of <strong>Pain</strong> Examples Possible Treatments<br />

Nociceptive:<br />

Superficial Somatic<br />

Skin and mucosa<br />

Upper GIT and anus<br />

Burning, stinging or sharp pain<br />

Usually constant<br />

Well localised pain<br />

Lesions<br />

Ulcers<br />

Pressure sores<br />

Non-opioid analgesia<br />

Opioids and NSAIDs<br />

Non-pharmacological interventions:<br />

- CBT<br />

- Heat<br />

- Topical preparations<br />

Noiceptiv:<br />

Deep Somatic<br />

Muscles, joints and<br />

bones<br />

Aching, gnawing pain<br />

Generally well localised<br />

Osteoarthritis<br />

Fractures<br />

Non-opioid analgesia<br />

Opioids and NSAIDs<br />

Non-pharmacological interventions:<br />

- CBT<br />

- Heat<br />

- Exercise<br />

Noiceptive:<br />

Visceral <strong>Pain</strong><br />

Abdominal and<br />

thoracic organs<br />

Deep, cramping, squeezing pain<br />

Sometimes felt as pressure<br />

Diffuse pain, not usualle<br />

well localised<br />

May be referred to<br />

cutaneous sites<br />

Abdominal colic<br />

Bowel obstruction<br />

Non-opioid analgesia<br />

Opioids and NSAIDs<br />

Anti-spasmodics<br />

Non-pharmacological interventions:<br />

- CBT<br />

- Exercise<br />

Neuropathic pain<br />

Central and<br />

peripheral nervous<br />

systems<br />

Burning, shooting, electric<br />

shock,<br />

pins and needles<br />

May be referred to the area<br />

that nerve would normally<br />

supply<br />

Post-herpatic neuralgia<br />

(shingles)<br />

Diabetic neuralgia<br />

Post-stroke pain<br />

Phantom limb pain<br />

Sciatica<br />

Tumour infiltration into<br />

nerves<br />

Adjuvant analgesics:<br />

- Anti-depressants<br />

- Anti-convulsants<br />

- Anti-arrhythmics<br />

Topical preparations

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